Active NPI
Joe Daniel Lucas
- Physical Therapist
- Newbury Park, CA
National Provider Identifier
1295312502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300051
- Practice address
- 168 Shamrock CT
Newbury Park, CA 91320-3437 - Phone
- (805) 231-8901
- NPI assigned
- Mar 24, 2021
- Last updated
- Sep 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300051 | CA | Primary |
Addresses
Primary practice location
168 Shamrock CT
Newbury Park, CA 91320-3437
Mailing address
168 Shamrock CT
Newbury Park, CA 91320-3437
Phone (805) 231-8901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210510002813 | CA | Practitioner - Physical Therapist in Private Practice | 0143639849 | Practice locations: Newbury Park, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- https://api.platform.athenahealth.com/7809/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1295312502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 SHAMROCK CT",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913203437",
"telephone_number": "805-231-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 SHAMROCK CT",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913203437",
"telephone_number": "805-231-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "JOE",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.